PWB to FWB with crutches.

At my six week check the doctors allowed me to PWB which was progress but they were unable to get my foot back to an neutral position. Was about to leave the plaster room with my new cast when one of the nurse’s suggested that I come back in a week and they would try again for a neutral position.

At that appointment today was seen again but failed to get my foot in a neutral position again. Felt very disappointed but was seen by a new registrar. She suggested that I go into a walking boot anyway. Only been walking for a few hours but it is so much better. At last I am able to take a bath and get rid of all that dead skin around my right leg.

It also feels that I can exercise my ankle more and speed up my recovery. I know that it is going to be a slow process but at least I am more active in it now. Determined to be out of this walking boot by my next appointment in four weeks time. Looking forward to the physio.

2 Responses to “PWB to FWB with crutches.”

  1. Yah, boots are SO much better than casts, in +/- every way! I think casts actually COST the hospitals, insurers, NHS, etc. MORE than boots, too, which just makes the old-fashioned way nuttier. Maybe it’s all about “featherbedding” by the cast technicians, who don’t want to be retrained for a new job.

    Did you get a “hinged” boot that can be adjusted to different angles, or is the boot “fixed” at neutral, and you’ve got 1 or 2 hard-rubber heel wedges inside the boot? Either way, you’ve got some opportunity to try to move your dorsiflexion along. Many people here have found it helpful to make the angle change at bed-time. Remove (say) one heel wedge, strap on the boot, and sleep on it. In the morning, if it seems comfy to walk on it, just keep going. If you’ve still get 1 or more wedges in the boot, wait a couple of days and try removing one more at bed-time, etc., etc.

    In addition to having the rate of “stretch” under your control, so you can “listen to your body”, you also have WAY more precision in setting your ankle angle that way, compared to some cast technician eye-balling your angle with wet plaster or uncured fiberglass.

  2. Hi,
    Looks like we are both at similar recovery points regarding rupture and treatment.
    I spent two weeks post op in a back slab cast and then swapped to the boot although I was told not to move the ankle until my next appointment (4wks away!). After that appointment I to could not attain neutral position. Fortunately after a week of PT ROM exercises I can get to neutral though nothing more. You probably know that the key is exercise as much as your AT and foot will allow - little and often my PT said. Again looking at other posts you suffer the same issues I have with such a long time with the foot immobile so we now face a bigger struggle to get the thing working again. Rest assured even short term things get better, last week I couldn’t move my foot at all, now I can stand on two feet (wow) with about 50% weight on the bad one, and this morning took three tentative steps in my boot with no crutches.
    I still have a lot of swelling around the foot especially at the end of the day, I’m going to try a session on an exercise bike (PT suggestion) to see if that helps.
    Hows your foot and ankle? I konw after a short time PWB mine gets really painful, though it is improving with time.
    Stay positive, I’ll keep an eye on your blog as we seem to be at similar stages of recovery.

    Take care, Mark

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